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Teche Action Clinic SchoolBased Health Centers Department Consent FormSBHC Office Use Only: Account #: ___ Location: West St. Mary High SchoolDATE: ___ Please PRINT Students Name: ___LastFirstMiddle
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How to fill out school-based teche action clinic

01
Gather all necessary information regarding the student's medical history and current health concerns.
02
Complete all required forms and documents accurately, providing detailed information about the student's condition and any medications they are currently taking.
03
Make sure to obtain consent from the student's parent or guardian before proceeding with any medical treatments.
04
Schedule an appointment with the school-based teche action clinic, ensuring that the student is seen by a qualified healthcare provider.
05
Follow up with any recommended treatments or further assessments as advised by the clinic staff.

Who needs school-based teche action clinic?

01
Students who require medical attention or monitoring during school hours.
02
Students with chronic health conditions that may require regular check-ups or medication administration.
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Students who have recently been injured or are recovering from a medical procedure.
04
Students who may be experiencing symptoms of an illness and need to be evaluated by a healthcare provider.

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School-based teche action clinic is a program designed to provide technical assistance and support to schools in implementing effective educational strategies and practices.
Schools or educational institutions participating in the clinic and seeking technical assistance are required to file the school-based teche action clinic.
To fill out the school-based teche action clinic, schools must complete the designated forms provided by the clinic, ensuring all required information is accurately entered and submitted by the deadline.
The purpose of the school-based teche action clinic is to enhance educational practices by providing targeted support, resources, and expert guidance to schools.
The information that must be reported includes school demographics, specific technical assistance needs, planned activities, and anticipated outcomes.
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